| NPI | 1265120976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TX 48621) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX 48621) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX 48621) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10087421) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-04-21 |